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Idaho rates for HCPCS 64802

Sympathectomy, cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.59 / $1,052.96 / $1,961.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.38 / $1,110.38 / $1,113.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.95 / $1,190.79 / $1,414.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.37 / $1,168.29 / $2,256.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.20 / $1,480.82 / $1,905.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,143.06 / $1,438.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.52 / $4,867.04 / $5,994.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.40 / $1,732.23 / $1,905.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.13 / $1,040.85 / $1,610.67